Jerry David Whatley, MD | |
509 Grand Ave, Ardmore, OK 73401-4338 | |
(580) 223-3300 | |
(580) 223-3320 |
Full Name | Jerry David Whatley |
---|---|
Gender | Male |
Speciality | Family Medicine - Adolescent Medicine |
Location | 509 Grand Ave, Ardmore, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780634816 | NPI | - | NPPES |
100114070G | Other | OK | SOONERCARE MCD # |
19096 | Other | OK | OKLAHOMA LICENSE # |
731612230 | Other | OK | TAX ID # |
100114070A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0000X | Family Medicine - Adolescent Medicine | 19096 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerry David Whatley, MD 936 Deese Rd, Ardmore, OK 73401-9315 Ph: (580) 224-9035 | Jerry David Whatley, MD 509 Grand Ave, Ardmore, OK 73401-4338 Ph: (580) 223-3300 |
Dr. Pete C. Chambers, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1306 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-6003 Fax: 580-223-6999 | |
Steven K Watkins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd, Suite G, Ardmore, OK 73401 Phone: 580-490-9411 Fax: 580-490-9415 | |
Dr. James Forrestal, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 16th Ave Nw, Ardmore, OK 73401 Phone: 580-226-5120 Fax: 580-223-1003 | |
Brooks B Zimmerman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N Commerce St, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-2397 | |
Oludayo Olusanya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6378 Fax: 580-220-6772 | |
Dr. Cameron Paul Lancarte, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Summer Kirby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 |